NPI Database
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Contact Information

COMMUNITY CARE NETWORK INC
3167 FULTON RD STE 111
CLEVELAND, OH44109-1465
 Phone: 216-283-3865
 Fax: 216-651-1590
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
 

Managed Care Organization Pharmacy

3336M0003X 58 Medical Supply Company with Pharmacist
 

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Specialty Pharmacy

3336S0011X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for COMMUNITY CARE NETWORK INC

NPI # 1033296363
LBN Legal business name COMMUNITY CARE NETWORK INC
Authorized official RAY MYERS - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 11/08/2013 - About 13 years ago
Identifiers
OH License # 02154695003
OH Medicaid 2586607
Other 2080327 PK
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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